Abstract
BackgroundThe nasal bone is the most protruding bony structure of the facial bones. Nasal bone fracture is the most common facial bone fracture. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. The objective of this study is to investigate the current trends in the treatment of nasal bone fractures and the effectiveness of closed reduction depending on the severity of the nasal bone fracture.Patients and methodsA total of 179 patients with a nasal bone fracture from 2009 to 2017 were enrolled. Their clinical examination, patient’s records, and radiographic images of nasal bone fractures were evaluated.ResultsPatients ranged from children to elderly. There were 156 (87.2%) males and 23 (12.8%) females. Traffic accident (36.9%) was the most common cause of nasal fracture. Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture.Complications after surgery included postoperative deformity in 20 (11.2%) patients, nasal obstruction in 11 (6.1%) patients, and olfactory disturbances in 2 (1.1%) patients and patients with more severe nasal bone fractures had higher rates of these complications.ConclusionClosed reduction could be performed successfully within 2 weeks after injury.
Highlights
The nasal bone is the most protruding bony structure of the facial bones
Orbit fracture (44 patients, 24.6%) was the most common fracture associated with a nasal bone fracture
The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, complications after surgery, and so on regarding this fracture
Summary
The nasal bone is the most protruding bony structure of the facial bones. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, and complications after surgery. Nasal bone fracture is the most common facial bone fracture, accounting for about 40% of all facial fractures. The high rate of incidence of nasal bone fracture emphasizes the need for systematical investigation of epidemiology, surgical techniques, complications after surgery, and so on regarding this fracture. There is an abundant amount of research on the demographic data, cause of injury, types of nasal bone fractures, and associated fractures, more research on the types and rate of complications depending on the types or severity of nasal bone fractures is needed
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